| Doctor Name: | KAREN ANN SODERBERG-GOMEZ |
| NPI Number: | 1083839914 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNP |
| License Number: | NPP37418 |
| Business Practice Address: | 100 Kenyon Ave Wakefield, RI - 028794216 |
| Business Phone Number: | 4017881638 |
| Business Fax Number: | 4017829892 |
| Mailing Address: | Po Box 229, WAKEFIELD |
| State: | RI |
| Postal Code: | 028800229 |
| Phone Number: | 4017883929 |
| Fax Number: | 4017883939 |
| NPI Enumeration Date: | 04/16/2007 |
| NPI Last Update Date: | 11/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | NPP37418 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | RI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |